Evidence map›Paper›PMID 39849599›Full record

ArticleFluids and barriers of the CNS2025

A novel method for detecting intracranial pressure changes by monitoring cerebral perfusion via electrical impedance tomography.

Ming-Xu Zhu, Jun-Yao Li, Zhan-Xiu Cai, Yu Wang, Wei-Ce Wang, Yi-Tong Guo, Guo-Bin Gao, Qing-Dong Guo, Xue-Tao Shi, Wei-Chen Li

Abstract read
In one paragraph

Article in Fluids and barriers of the CNS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Ming-Xu Zhu *Department of Biomedical Engineering, Air Force Medical University, Xi'an, China.
Jun-Yao Li *Department of Biomedical Engineering, Air Force Medical University, Xi'an, China.
Zhan-Xiu Cai *College of Life Science and Technology, Shandong Second Medical University, Weifang, China.
Yu WangInstitute of Medical Research, Northwestern Polytechnical University, Xi'an, China.
Wei-Ce WangDepartment of Biomedical Engineering, Air Force Medical University, Xi'an, China.
Yi-Tong GuoDepartment of Biomedical Engineering, Air Force Medical University, Xi'an, China.
Guo-Bin GaoFaculty of Electrical and Control Engineering, Liaoning Technical University, Huludao, China.
Qing-Dong GuoDepartment of Neurosurgery, Xijing Hospital, Air Force Medical University, Xi'an, China. guoqd1991@sina.cn.
Xue-Tao ShiDepartment of Biomedical Engineering, Air Force Medical University, Xi'an, China. shixuetao@fmmu.edu.cn.
Wei-Chen LiDepartment of Biomedical Engineering, Air Force Medical University, Xi'an, China. lycoliver@163.com.

Funding

Innovation Foundation for Doctor Dissertation of Northwestern Polytechnical University under grant CX2023088Key Basic Research Projects of the Basic Strengthening Plan of the Science and Technology Committee 2019-JCJQ-ZD-115-00-02Key Research and Development Projects of the Science and Technology Committee 2022YFC2404803
6 · The paper itself

Abstract

backgroundAcute and critical neurological diseases are often accompanied with elevated intracranial pressure (ICP), leading to insufficient cerebral perfusion, which may cause severe secondary lesion. Existing ICP monitoring techniques often fail to effectively meet the demand for real-time noninvasive ICP monitoring and warning. This study aimed to explore the use of electrical impedance tomography (EIT) to provide real-time early warning of elevated ICP by observing cerebral perfusion.

methodsAn intracranial hypertension model was prepared by injecting autologous un-anticoagulated blood into the brain parenchyma of twelve Landrace swine. Invasive ICP monitoring was used as a control method, and a high-precision EIT system was used to acquire and analyze the changing patterns of cerebral perfusion EIT image parameters with respect to ICP. Four EIT parameters related to cerebral perfusion were extracted from the images, and their potential application in detecting ICP elevation was analyzed.

resultsWhen ICP increased, all EIT perfusion parameters decreased significantly (P < 0.05). When the subjects were in a state of intracranial hypertension (ICP > 22 mmHg), the correlation between EIT perfusion parameters and ICP was more significant (P < 0.01), with correlation coefficients ranging from -0.72 to -0.83. We tested the objects when they were in baseline ICP and in ICP of 15-40 mmHg. Under both circumstances, ROC curve analysis showed that the comprehensive model of perfusion parameters based on the random forest algorithm had a sensitivity and specificity of more than 90% and an area under the curve (AUC) of more than 0.9 for detecting ICP increments of both 5 and 10 mmHg.

conclusionThis study demonstrates the feasibility of using perfusion EIT to detect ICP increases in real time, which may provide a new method for real-time non-invasive monitoring of patients with increased ICP.

Indexed as

Cerebrovascular CirculationElectric ImpedanceIntracranial HypertensionIntracranial PressureNeurophysiological MonitoringTomographyAnimalsDisease Models, AnimalMonitoring, PhysiologicSwineCerebral autoregulationCerebral perfusionElectrical impedance tomographyIntracranial pressure

Identifiers

PMID39849599
PMCPMC11761725

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.